Are you a Meaningful User of the Future?
Since the Electronic Health Records (EHR) incentive program known as Meaningful Use began in 2011, the healthcare community has felt its impact and attempted to meet the increasing obligations. A…
$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims
In 2012, approximately 49 million Medicare claims were related to screening, diagnosis or treatment of cataracts, wet acute macular degeneration and/or glaucoma. Medicare paid approximately $3.5 billion for these particular…
CMS Just Announced New Provider Enrollment Provisions
As of December 3, 2014, new safeguards have been added to the CMS provider enrollment policies. CMS continues to focus on prevention of Medicare fraud, waste and abuse as part…
Are You Billing for Home Care Visits?
Physician home visits are under scrutiny by CMS for any possible fraud. In 2012, Medicare paid home care service providers about $236 million. As the population of Medicare age recipients…
Have You Reviewed the OIG 2015 Workplan?
The 2015 Workplan of the Office of the Inspector General highlights important areas for providers including medical necessity of services billed, payment review, exclusions, and incentive payments. Determination of the…
What Should You Do After Discovering a Billing Error?
Just correct the problem and you will be compliant? No, but this is the first step in the right direction. According to the HHS in “A Roadmap for New Physicians…
Improper Payments for Evaluation & Management Services Cost Medicare Billions in 2010
According to the Office of the Inspector General’s report for 2010, Evaluation and Management services accounted for 30% of Medicare Part B payments, a total cost of $32.3 billion. However,…
What The Medicare Claims Data Could Mean To Your Practice
The recently released information on physicians’ billing practices with Medicare has sparked some interesting discussion on the data analysis. In 2012, 880,000 healthcare providers billed Medicare for $77B. A rheumatologist…
Top 10 Reasons to Have a Compliance Program
10 I want to know about a violation of law in my practice before the government and the world know about it. In a world with information readily available at…
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